Indlela ephansi ye-carb ingaphakathi kweziqondiso ze-ADA
Kungaba okunengqondo ukucabanga ukuthi ukunciphisa ama-carbohydrate ekudleni kungaba usizo enkingeni lapho umzimba unenkinga yokuwuqeda. Ngempela, abantu abaningi abanesifo sikashukela bathola ukuthi yilokho, kanti abanye odokotela benza impumelelo enkulu besebenzisa ukudla okuncane-carbohydrates ukuphatha isifo sikashukela .
Kube khona izikhathi emlandweni we-American Diabetes Association (ADA) lapho inhlangano idangalisa abantu abanesifo sikashukela ekulandeleni indlela encane ye-carb yokulahlekelwa isisindo kanye nokuphathwa kwegazi glucose.
Kodwa-ke, lesi simo sashintshile futhi sidla ukudla okuphansi manje sekubhekwa njengenye yezinketho ezivulekile kubantu abanesifo sikashukela kanye nama- prediabetes .
Nakhu okushiwo yi-American Diabetes Association mayelana nokudla okuphansi kwe-carb nesifo sikashukela emazingeni abo ka-2017, "Amaphethini okudla ahlukahlukene ayamukelekile ekuphatheni uhlobo lwesifo sikashukela kanye nesandulela ngculazi, okuhlanganisa i-Mediterranean, DASH, kanye nezidlo ezisekelwe ezitshalweni. kusuka emasimini, imifino, izithelo, izitshalo kanye nemikhiqizo yobisi, ngokugcizelela ukudla okuphezulu e-fibre futhi ephansi emithwalweni ye-glycemic, kufanele iqondiswe ngaleminye imithombo, ikakhulukazi labo abaqukethe ushukela. "
Ukulahlekelwa kwesisindo
Ukulahlekelwa kwesisindo okuhloswe ngaphezu kwamaphesenti amahlanu wesisindo somzimba kunconywa kubo bonke abakhuluphele kakhulu noma abakhuluphele uma benesifo sikashukela noma besengozini enkulu futhi ukulahleka kwesisindo samaphesenti angu 7 noma ngaphezulu kulungile. Lesi silinganiso sokuncipha kwesisindo sibonisiwe kokubili ukusiza ukuvimbela isifo sikashukela nokuthuthukisa isimo sengqondo kulabo abanesifo sikashukela.
I-American Diabetes Association's "Standards of Medical Care in Isifo Sikashukela-2017" ithi "Ukudliwa kufanele kube ngabanye, njengalabo abahlinzeka ngokulinganisa okufanayo kwekhalori kodwa behluke emaprotheni, ama-carbohydrate, kanye nokuqukethwe kwamanoni kuphumelela ngokufanayo ekufezeni ukulahleka kwesisindo."
Ukuhlinzwa kwamathambo nakho kuyindlela yabantu abadala abakhuluphele abane-BMI abangama-40 noma ngaphezulu nalabo abane BMI ezindaweni eziphansi abalawulwa ngokungafaneleki kwe-hyperglycemia.
Esinye iseluleko sokulahlekelwa isisindo ukuthi "Ukusebenza ngokomzimba nokuguqulwa kokuziphatha kubalulekile izingxenye zezinhlelo zokulahlekelwa kwesisindo futhi ziwusizo kakhulu ekunakekeleni ukulahlekelwa isisindo." Kunconywa imizuzu engama-150 yomsebenzi wokuzivocavoca olinganiselayo ngokweqile ngesonto. Imikhombandlela ka-2017 yanezela isincomo sokunciphisa ukuziphatha okuhlala phansi futhi ivuke futhi ihambisane nayo yonke imizuzu engama-30, nemihlangano emibili kuya kweyesithathu ngesonto lokuqeqeshwa ukumelana.
Ukudla okunomsoco kanye nokuphathwa kwempilo
Izincomo ze-ADA ngendima yokudla ekulawuleni sikashukela zihlanganisa:
- Ukuxuba ama-carbohydrate, amaprotheni, namafutha kungalungiswa ukuze kuhlangatshezwe nezinhloso eziphathelene nomzimba kanye nokuthandwa komuntu onesifo sikashukela.
- Ukuqapha i-carbohydrate, kungakhathaliseki ukubalwa kwamakhemikhalidi, ukukhetha, noma ukulinganisa okuhlangenwe nakho, kuyisisindo esiyinhloko ekufezeni ukulawulwa kwe-glycemic.
- Ukuze uthole impilo enhle, ukudla okunama-carbohydrate okuvela emifino, izithelo, okusanhlamvu okugcwele, izithelo zommbila kanye nemikhiqizo yobisi kufanele kunconywe ngokudla kwamanye imithombo yamakhemikhalidi, ikakhulukazi leyo enamafutha engeziwe, ushukela, noma i-sodium.
- Abantu abanesifo sikashukela kumele balandele imihlahlandlela yabantu abaningi ngokuphakanyiswa okunconyiwe kwamafutha agcwele, i-cholesterol yokudla kanye namafutha eshu . Ukufakelwa kwamafutha e- trans kumele kuncishiswe.
Ayikho Indlela Yokudla Yokuvunyelwa Yodwa
Akukho ukudla okujwayelekile kwe-ADA. Abaningi abathisha isifo sikashukela nabanakekeli bezempilo banezindlela zabo ezingezona ukudla okuphansi. Kodwa imihlahlandlela ye-ADA ibonisa ukuthi indlela encane ye-carb iphelele ngaphakathi kwezincomo zabo. Ngokuqapha kwe-carbohydrate njengendlela "eyisihluthulelo esiyinhloko" yokulawula isifo sikashukela, uma umuntu ethola ukuthi ukudla okuncane kwe-carb kulungile ekulawuleni igazi layo, kungase kube indlela eyahlukene eyenza yona.
> Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2012. Ukunakekelwa yisifo sikashukela. Januwari 2012 vol. 35 cha. Isengezo 1 S11-S63.
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2017. Ukunakekelwa yisifo sikashukela . 2016; 40 (Ungezelelo 1). i-doi: 10.2337 / dc17-s001.
> Evert AB, Boucher JL, Cypress M, et al. Ukunakekelwa kokudla okunomsoco Izincomo zokuphathwa kwabadala abane-diabetes. Ukunakekelwa yisifo sikashukela . 2013; 37 (Supplement_1). i-doi: 10.2337 / dc14-s120.